Next Article in Journal
Weekly Dose-Dense Paclitaxel and Triweekly Low-Dose Cisplatin: A Well-Tolerated and Effective Chemotherapeutic Regimen for First-Line Treatment of Advanced Ovarian, Fallopian Tube, and Primary Peritoneal Cancer
Next Article in Special Issue
Smoking Prevalence and Secondhand Smoke Exposure during Pregnancy and Postpartum—Establishing Risks to Health and Human Rights before Developing a Tailored Programme for Smoking Cessation
Previous Article in Journal
Vehicular Emission Inventory and Reduction Scenario Analysis in the Yangtze River Delta, China
Previous Article in Special Issue
Re-Configuring Identity Postpartum and Sustained Abstinence or Relapse to Tobacco Smoking
Article

Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study

1
Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK
2
School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(23), 4791; https://doi.org/10.3390/ijerph16234791
Received: 5 November 2019 / Revised: 22 November 2019 / Accepted: 23 November 2019 / Published: 29 November 2019
(This article belongs to the Special Issue Smoking Cessation in Pregnancy and Postpartum)
Many countries, including the UK, recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy. However, adherence to NRT is generally low, smoking lapse or relapse is common and using NRT to reduce the harm from the number of cigarettes smoked is only advocated in non-pregnant smokers. Two focus groups were conducted with 13 professionals involved in antenatal stop smoking services (SSS). The data were analysed thematically. Two themes were extracted that describe health professionals’ attitudes towards using NRT either during lapses or to reduce smoking in women who cannot quit (harm reduction). These are presented around a social–ecological framework describing three hierarchical levels of influence within smoking cessation support: (1) Organizational: providing NRT during lapses could be expensive for SSS though harm reduction could result in services helping a wider range of clients. (2) Interpersonal: participants felt using NRT for harm reduction was not compatible with cessation-orientated messages practitioners conveyed to clients. (3) Individual: practitioners’ advice regarding using NRT during smoking lapses varied; many were generally uncomfortable about concurrent smoking and NRT use and had strong reservations about recommending NRT when smoking during all but the briefest lapses. Further evidence is required to guide policy and practice. View Full-Text
Keywords: smoking cessation; pregnancy; nicotine replacement therapy; NRT; stop smoking services; harm reduction smoking cessation; pregnancy; nicotine replacement therapy; NRT; stop smoking services; harm reduction
MDPI and ACS Style

Thomson, R.; McDaid, L.; Emery, J.; Phillips, L.; Naughton, F.; Cooper, S.; Dyas, J.; Coleman, T. Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study. Int. J. Environ. Res. Public Health 2019, 16, 4791. https://doi.org/10.3390/ijerph16234791

AMA Style

Thomson R, McDaid L, Emery J, Phillips L, Naughton F, Cooper S, Dyas J, Coleman T. Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study. International Journal of Environmental Research and Public Health. 2019; 16(23):4791. https://doi.org/10.3390/ijerph16234791

Chicago/Turabian Style

Thomson, Ross, Lisa McDaid, Joanne Emery, Lucy Phillips, Felix Naughton, Sue Cooper, Jane Dyas, and Tim Coleman. 2019. "Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study" International Journal of Environmental Research and Public Health 16, no. 23: 4791. https://doi.org/10.3390/ijerph16234791

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop